MEDICARE: DR. DEBORAH PADGETT COEHLO PHD, C-PNP, PMHS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	000039320N2PNP-PP	OR

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	271240	OTHER	OR	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922180777
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEBORAH PADGETT COEHLO PHD, C-PNP, PMHS

Provider Business Mailing Address
First Line	:	62930 O B RILEY RD STE 300
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97703-9459
Country	:	US
Telephone Number	:	541-323-5515
Fax Number	:	541-323-3505

Provider Business Practice Location Address
First Line	:	62930 O B RILEY RD STE 300
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97703-9459
Country	:	US
Telephone Number	:	541-323-5515
Fax Number	:	541-323-3505

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/20/2006
Last Update Date	:	07/11/2019

Similar Medicare Providers

1952663387 — MS. AMY DINEEN LMFT
Practice Location Address:

62930 O B RILEY RD STE 200
BEND, OR
97703-9459

Practice Phone: 541-330-1919
Practice Fax: 541-868-2003

1518284306 — MRS. NATALIE A JAMES MS, NCC
Practice Location Address:

62930 O B RILEY RD STE 300
BEND, OR
97703-9459

Practice Phone: 541-280-7479
Practice Fax:

1568749687 — MARK GOODMAN LCSW
Practice Location Address:

62930 O B RILEY RD STE 200
BEND, OR
97703-9459

Practice Phone: 541-330-1919
Practice Fax:

1225382617 — JUNIPER RIDGE DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
Practice Location Address:

62930 O B RILEY RD STE 300
BEND, OR
97703-9459

Practice Phone: 541-323-5515
Practice Fax:

1053757666 — JUNIPER RIDGE DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS, LLC
Practice Location Address:

62930 O B RILEY RD STE 300
BEND, OR
97703-9459

Practice Phone: 541-323-5515
Practice Fax:

1235513011 — DR. SHEILA POGGE PH.D.
Practice Location Address:

62930 OB RILEY RD STE 200
BEND, OR
97703-9459

Practice Phone: 541-330-1919
Practice Fax:

Directions to “ DR. DEBORAH PADGETT COEHLO PHD, C-PNP, PMHS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.